Gregory B. Shankman, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

134913 Issued in NY

Legal business name

GREGORY B. SHANKMAN, M.D., P.C.

Practice address

1418 Genesee St
Utica, NY 13502-5101

Phone

(135) 797-0111

Fax

(315) 735-3459

NPI assigned

Mar 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ryan C. Lynch

Title

Practice Manager

Phone

(315) 797-0111

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Abdoo, PHYSICAL THERAPIST

  • Physical Therapist
  • Utica, NY
  • NPI 1275552101
  NPD (past)
• Kevin John Lynch, PHYSICIAN' ASSISTANT

  • Surgical Physician Assistant
  • Utica, NY
  • NPI 1326123969
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255458543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8190",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135058190",
            "telephone_number": "315-797-0111",
            "fax_number": "315-735-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025101",
            "telephone_number": "135-797-0111",
            "fax_number": "315-735-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY B. SHANKMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "315-797-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "134913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "134913",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00560072",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Green, HHA
• Stacey Rae Green
• Kelly Maureen Greene, LMHC
• Vivian Lee Greenfield
• Neil Stephen Greer
• Bethany M Grems-Williams
• Laura Anne Grenier, PT
• Jodhvir Grewal, MD
• Michael David Gribetz, M.D.
• Colette Griffith, LMT

• Specialist in Utica, NY
• Providers in Utica, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.